Individual
MARIA L BUCKLEY
Active
Individual
MARIA L BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00761
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26355-1
BCBS RI
RI
01
—
409415
BLUECHIP
RI
Enumeration date
01/07/2006
Last updated
05/22/2008
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